Individual
BEAU SLAVIN KONIGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4014 LEAVENWORTH ST, OMAHA, NE 68105-1053
(402) 559-8000
(402) 559-8746
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24538
NE
390200000X
Student in an Organized Health Care Education/Training Program
TEP4471
NE
Other
Enumeration date
05/07/2007
Last updated
10/05/2018
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